Ms Stacie Petersen, RN, CDE is a
Registered Nurse - Case Management based in West Point, Nebraska. Ms Stacie Petersen is licensed to practice in Nebraska (license number 49907) and her current practice location is
430 N Monitor St, West Point, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 372-2404.
NPI number for Ms Stacie Petersen is 1265835391 and her current mailing address is 430 N Monitor St, West Point, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265835391.
Provider's Profile
Full Name | Ms Stacie Petersen |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 430 N Monitor St, West Point, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265835391
- Provider Enumeration Date: 10/03/2014
- Last Update Date: 10/03/2014
Medical Identifiers
Medical identifiers for Ms Stacie Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265835391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0400X | Registered Nurse - Case Management | 49907 (Nebraska) | Primary |
163WD0400X | Registered Nurse - Diabetes Educator | 49907 (Nebraska) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Stacie Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Stacie Petersen, RN, CDE 430 N Monitor St, West Point, NE 68788-1595 Ph: (402) 372-2404 | Ms Stacie Petersen, RN, CDE 430 N Monitor St, West Point, NE 68788-1595 Ph: (402) 372-2404 |
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